Ruth Smith FNP

NPI 1609883867 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1609883867
Gender Female
Enumeration Date 08/01/2006
Last Updated 07/22/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1112 5TH ST
LACON IL, 61540-1353, US
Phone (309) 246-2676
Fax
Business Location
5100 RELIABLE PKWY
CHICAGO IL, 60686-0001, US
Phone (309) 672-4809
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209000505
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According to our database, Ruth Smith FNP NPI is 1609883867, taxonomy code is 363LF0000X and license number is 209000505, license state is located at Illinois. Ruth Smith FNP physically located at 1112 5th St, Lacon IL, 61540-1353. NPI Number Ruth Smith FNP has the Individual type.

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1609883867 NPI number is provided on an as is basis without warranty of any kind. 1609883867 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth Smith FNP are for informational purposes only.